Commitment. Compassion. Community.

Transcription

1 Commitment. Compassion. Community. St. Luke s Annual Report 2011

2 2011 FEATURES Raising the bar throughout our organization. From redesigning inpatient dining to adopting innovative surgical technologies, 2011 was shaped by our commitment to continuous improvement.

3 2011 FEATURES We wanted to offer a truly remarkable inpatient dining experience as personalized as our patient care. Mark Branovan, St. Luke s Hospitality Services Director New Perspectives on Patient Dining A year of research, planning and development paid off with the successful launch of Perspectives Dining, a radical departure from traditional hospital food service programs and the first of its kind in the Northland area. We wanted to offer a truly remarkable inpatient dining experience as personalized as our patient care, says Mark Branovan, St. Luke s Hospitality Services Director. What makes Perspectives Dining unique is the program s inherently patient-centered focus. Patients order what they want, when they want it, choosing from a wide selection of fresh, healthful, made-to-order meals and snacks. Orders are delivered within 45 minutes by special Ambassadors. St. Luke s also implemented a special health care nutrition software program that crossreferences menu items with individual patient needs. If a patient orders something that exceeds their allotted carbohydrate or fat grams, we can help them find something that fits within their plan, says Paula Bursch, St. Luke s Clinical Nutrition & Diabetes Care Supervisor. With Perspectives Dining, every patient interaction becomes a coaching opportunity. Funding for Perspectives Dining is provided in part by St. Luke s Foundation. We can perform even the most intricate procedures with far less impact on the patient. Dr. Thomas O Connor, St. Luke s Urology Associates Art and Science of da Vinci Technology Minimally invasive surgery, while offering significant advantages over traditional surgery, has not been able to meet the demands of complex urological and gynecological procedures. In 2011, St. Luke s addressed those limitations with the robot-assisted da Vinci Surgical System, an innovative technology that produces less post-operative pain, fewer complications, decreased blood loss and shorter recovery periods. And St. Luke s is one of the few medical centers in the country to offer the da Vinci simulator, a training tool that uses operative scenarios to improve dexterity and skills. According to Dr. Thomas O Connor, St. Luke s Urology Associates, the da Vinci system s magnified, 3-D perspective significantly enhances precision, flexibility and control. We can perform even the most intricate procedures involving the kidneys, bladder and prostate with far less impact on the patient, he says. Dr. Susan Goltz of Northland OB-GYN Associates is equally enthusiastic. For complex hysterectomies and selected gynecologic procedures, da Vinci is the most effective, least invasive treatment option available today. da Vinci is a registered trademark of Intuitive Surgical, Inc.

4 TO OUR COMMUNITY St. Luke s reputation in the community and region is reflected in our mission to put patients first. In 2011, we conducted a region-wide review to better understand how St. Luke s impacts the people of our region. Survey results verified that St. Luke s is important to the health care of our region, that St. Luke s mission is meaningful to the people who receive our services, and that our patients believe in our promise to put them first. The patient experience Staying true to our mission means always looking at ways to improve the patient experience. In 2011 we launched Perspectives Dining, a new inpatient food service program, and transformed how we provide birthing and pediatric care services. We also added new technologies, including the minimally invasive da Vinci Surgical System which reduces pain and shortens recovery time. Quality standards Our focus on quality is present in everything we do, from our existing services to new clinics and specialty areas. In 2011 The Joint Commission, the nation s premier health care standards-setting accrediting organization, once again reaccredited St. Luke s and St. Luke s Home Care for achieving compliance standards. Exceptional staff As always, meeting our patients expectations and satisfying quality standards would not be possible without our amazing team. From the Bay Area Medical Clinic staff in Silver Bay, Minnesota, to the Chequamegon Clinic staff in Ashland, Wisconsin; from the nurses who care for patients at the emergency department, in the intensive care unit and in their homes, to the physical therapists who help patients regain their strength so they can rejoin their families, our staff live St. Luke s mission every day. This is the St. Luke s we know. Sincerely, John Strange President and CEO Dale Moe Board Chair

5 TO OUR COMMUNITY Our Mission The Patient Above All Else. Our Values The patient comes first. Quality is our expectation. People make it happen. Everyone is treated with respect.

6 YEAR IN REVIEW The Year in Review New Radiology Team St. Luke s welcomed a new team of radiologists through Consulting Radiologists, Ltd. (CRL), a Minnesotaowned, physician-led radiology practice of 75 radiologists representing all diagnostic imaging subspecialties. Eduardo Ehrenwald, MD, PhD Subbarao Inampudi, MBBS Stanley Kurisko, MD Richard Levey, MD Thomas Matson, MD Jason Mehling, MD Karla Myhra-Bloom, MD Jeffrey Peterson, MD Robert Pollock, MD Paul Rust, MD Lisa Schneider, MD Clark Schumacher, MD Matthew Stone, MD Interventional Radiology Interventional Radiology Diagnostic Radiology Diagnostic Radiology Diagnostic Radiology Interventional Radiology Diagnostic Radiology/Teleradiologist Diagnostic Radiology Diagnostic Radiology Diagnostic Radiology Breast Imaging Interventional Radiology Diagnostic Radiology/Teleradiologist

7 YEAR IN REVIEW Accreditations and Recognitions St. Luke s Inpatient Rehabilitation Unit (8 West) received a three-year reaccreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF). This achievement is an indication of St. Luke s dedication and commitment to improving the quality of our patients lives. The Joint Commission Resources recognized St. Luke s with a Bronze Award for The Flu Vaccination Challenge. St. Luke s achieved recognition for its employee vaccination rate. St. Luke s received a Certificate of Appreciation from LifeSource and the Minnesota Hospital Association (MHA) for supporting the gifts of organ and tissue donation. Laurentian Medical Clinic laboratory was reaccredited by COLA, a national health care accreditation organization. Accreditation is given only to laboratories that apply rigid standards of quality in day-to-day operations, demonstrate continued accuracy in the performance of proficiency testing and pass a rigorous on-site laboratory survey. St. Luke s Hospital and St. Luke s Home Care Services each received reaccreditation from The Joint Commission. The accreditation covers compliance with standards and other requirements and verifies improvement activities and is designed to help hospitals continuously provide safe, high-quality care, treatment and service. The Joint Commission is the nation s oldest and largest health care standards-setting and accrediting body.

8 YEAR IN REVIEW New Services St. Luke s Inpatient Rehabilitation Unit opened the doors to its new transitional apartment. Located on 8 West, the apartment simulates a home environment, enabling patients to test their skills before returning home. Funding for the apartment was provided, in part, by St Luke s Foundation. St. Luke s formed a new Maternal Child Health Department including pediatrics, labor and delivery, nursery and Level II nursery. This new service offers continuity of care for new parents and children. St. Luke s launched Perspectives Dining, a new patient food service program unique in the hospital food service industry. The program allows patients to choose what they want and when they want to eat from a heart-healthy menu that meets the 2010 Dietary Guidelines for Americans. Funding for this program was provided, in part, by St. Luke s Foundation. St. Luke s welcomed Valentini s Deli, a convenient new option for meals and snacks located next to St. Luke s Gift Shop. Valentini s offers a variety of different pastas each day, as well as salads, sandwiches, soups, desserts and beverages.

9 YEAR IN REVIEW Under Construction Construction of a new medical office building on St. Luke s medical campus began in March 2011, on the corner of Second Street and 10th Avenue East. It is scheduled to open in late summer of The new building will offer expanded space for offices and specialty clinic practices, including St. Luke s Plastic Surgery Associates, St. Luke s Pediatric Associates, St. Luke s Orthopedics & Sports Medicine, St. Luke s Physical Medicine & Rehab Associates, St. Luke s Neurosurgery Associates and St. Luke s Gastroenterology Associates. Pilot Project In collaboration with the Human Development Center, St. Luke s Pediatric Associates is carrying out a pilot project involving Depression in Children and Adolescents. The project addresses the needs of children ages six to 17 who are patients at St. Luke s Pediatric Associates. Information from the pilot will be used to develop an integrated system of pediatric depression care management in the Duluth area. The collaboration is one of only two funded by the Minnesota Department of Human Services, Children s Mental Health Division. It is administered and staffed by St. Luke s Research Department, the Whiteside Institute for Clinical Research. Volunteer Milestone Celebrating In 2011, St. Luke s Volunteer Service Guild celebrated its 60th anniversary. Each month 135 adult volunteers and 35 college students volunteered in more than 35 areas throughout St. Luke s hospital and clinics, and 44 youth volunteered in the summer program. ST. LUKE S VOLUNTEER SERVICE GUILD Years

10 YEAR IN REVIEW New Technology St. Luke s introduced the da Vinci Si Surgical System to our operating rooms and to our community. The da Vinci Si offers unique features that provide clinical benefits and efficiency in the operating room which, in turn, benefit our patients. The system can be used for myriad procedures, including prostatectomy, hysterectomy, myomectomy, coronary artery bypass, mitral valve repair and colorectal surgery. St. Luke s is the first hospital in Minnesota to receive the da Vinci Skills Simulator, a state-of-the-art computer that acts like a flight-simulator for surgeons. New Leadership Susan Hamel accepted the Chief Nursing Officer (CNO) position. Hamel, a graduate of St. Luke s School of Nursing, is a long-time St. Luke s employee. In her 30 years, she has served as a staff nurse and held management roles in Intensive Care and Surgical Services. Jo Ann Hoag, who held the CNO position most recently since 2005, transitioned to Vice President, Network Development to focus efforts on health reform, outreach activities and to strengthen regional relationships. Elizabeth Weinman, MD, St. Luke s Physical Medicine & Rehabilitation Associates, was named director of St. Luke s Inpatient Rehabilitation Unit. Dr. Weinman joined St. Luke s in Nicholas Van Deelen, MD, was named Medical Director and Emergency Department Chair. Dr. Van Deelen joined St. Luke s in 1997.

11 LEADERSHIP Board of Directors Gail Baldwin, MD Lisa Bodine Ray Christensen, MD Marlene David Mark Emmel Vice Chair Susan Goltz, MD Secretary Melinda Machones Past Chair Dave McMillan Dale Moe Chair Kathleen Nelson, EdD Del Prevost Brian Ryks Treasurer Kristi Stokes John Strange Executive Team John Strange President and Chief Executive Officer Sandra Barkley Vice President, Clinics Ron Franzen Vice President of Support Services Jo Ann Hoag Vice President of Network Development James Wuellner Vice President, Finance and Chief Financial Officer Gary Peterson, MD Vice President, Medical Affairs and Chief Medical Officer Brian Carlson Vice President and CEO Lake View Memorial Hospital Two Harbors, Minnesota Susan Hamel Chief Nursing Officer

12 LEADERSHIP Medical Staff Organization Paul Sanford, MD Chief of Staff Elisabeth Revior, MD Chief of Staff Elect Stephen Hadley Secretary Medical Staff Department Chairs Brian Bergeron, MD Emergency Medicine Mary Boylan, MD Surgery David Kirby, MD Family Medicine Timothy Kleinschmidt, MD Medicine Maria Kundel, MD Pediatrics Jennifer Boyle, MD OB/GYN Juan Colareta, MD Psychiatry

13 NEW MEDICAL STAFF Expanding our medical staff to advance the quality of patient care Jarrod Buresh, DO St. Luke s Pavilion Surgical Associates Michael Butner, MD Laurentian Medical Clinic John Chang, DO St. Luke s Internal Medicine Associates Eric Enberg, MD Denfeld Medical Clinic Joseph Howard, MD St. Luke s Internal Medicine Associates Jason Johnson, MD St. Luke s Anesthesia Associates

14 NEW MEDICAL STAFF Andrea Katz, MD St. Luke s Oncology & Hematology Associates Jessica Krog-Breeuwer, MD St Luke s Internal Medicine Associates Addie Licari, MD P.S. Rudie Medical Clinic James MacNutt, DO St. Luke s Neurosurgery Associates James Mohn, MD St. Luke s Cardiology Associates Thomas O Connor, MD St. Luke s Urology Associates Kimberly Pettinelli, CNP Lauentian Medical Clinic John Redmond, MD St. Luke s Orthopedics & Sports Medicine

15 NEW MEDICAL STAFF Anne Riddle, MD Mariner Medical Clinic Brian Riddle, MD Mariner Medical Clinic Aundria Riggen, PA-C St. Luke s Orthopedics James Riggen, PA-C St. Luke s Pavilion Surgical Associates April Swartz, CNP St. Luke s Psychiatry Associatess Kristen Walsh, PA-C St. Luke s Orthopedics & Sports Medicine Cynthia Weaver, MD St. Luke s Rheumatology Associates

16 SERVICES Diagnostic, therapeutic and specialty services to better serve the growing needs of our community Regional Centers St. Luke s Regional Cancer Center St. Luke s Regional Heart & Vascular Center St. Luke s Regional Trauma Center Medical and Surgical Services Acute Inpatient Rehabilitation Acute Renal Dialysis Allergy and Immunology Anesthesiology Cardiology Cardiothoracic Surgery Colorectal Surgery da Vinci Surgical System Dermatology Emergency Medicine/ Trauma Care Endocrinology Family Medicine Gastroenterology General Surgery Infectious Disease Internal Medicine LASIK Surgery Maternal Child Health Mental Health Nephrology Neurology Neurosurgery Obstetrics/Gynecology Occupational Medicine Oncology/Hematology Ophthalmology Oral and Maxillofacial Surgery Orthopedic Surgery Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Podiatry Pulmonary Medicine Radiation Oncology Radiology Rheumatology Sports Medicine Urology Vascular Surgery VATS (Video Assisted Thoracoscopic Surgery) Weight Loss Essentials (Medical and Surgical)

17 SERVICES Diagnostic and Therapeutic Services Anticoagulation Clinic Biofeedback/Neurofeedback Breast Center Capsule Endoscopy Cardiac Angioplasty Cardiac Diagnostics Cardiac Rehabilitation Cardiology Device Clinic Chemotherapy Coronary CT Angiography (Computed Tomography) CRRT (Continuous Renal Replacement Therapy) CT Scanning Diabetes Care Electrophysiology Endoscopic Vein Harvesting Endoscopy/Proctoscopy/Colonoscopy EECP (Enhanced External Counterpulsation)* Guided Imagery Hand Therapy Heart Failure Clinic IMRT (Intensity-Modulated Radiation Therapy) Infusion Therapy Laboratory Lithotripsy Lymphedema Services Mammography (Digital and BSGI) Mental Health MRI (Magnetic Resonance Imaging) Neurological Screening/Diagnostics Neuromuscular Electrical Stimulation (NMES) Nutrition Counseling Occupational Therapy (Adult and Pediatric) Osteoporosis Screening (DEXA Scan and Heel Ultrasound) Ostomy/Continence/Wound Care PACE (Professionally Assisted Customized Exercise) Pain Management PET Imaging (Positron Emission Tomography) Pharmacy Physical Therapy (Adult and Pediatric) Psychological Services Pulmonary Rehabilitation Radiation Therapy Radio-Frequency Ablation Radiology Rehabilitation (Inpatient and Outpatient) Respiratory Therapy Saebo Rehabilitation (Stroke and Neurological Injury) Sleep Disorders Center Speech Therapy (Adult and Pediatric) Stereotactic Radiosurgery Stroke Program TMJ Services Ultrasound Vascular Services Vestibular Rehabilitation Therapy Vision Rehabilitation Program VNUS Closure for Varicose Veins Women s Heart Clinic * EECP is a registered trademark of Vasomedical, Inc.

18 SERVICES Community and Regional Services Childbirth Education Child Car Seat Safety Clinics (Partnership with the Duluth Fire Department and Northland s NewsCenter) Clinical Experience Affiliations Community Health Education Continuing Education Programs (Health Professionals, Physicians and EMS) CPR Training Diabetes Education Employee Assistance Program Fall Prevention Program Family Practice Residency Program (Joint Sponsorship) First Aid Classes Home Health Care Home Telemonitoring Hospice Duluth I Can Cope Injury Prevention Programs (TraumaRoo, EN CARE, Think First) Kids Can Cope Life Link III Air Medical Transport Medical Home Osteoporosis Program Outpatient Surgery Center at Mariner Medical Clinic Outreach Education Pavilion Surgery Center Physician Outreach Education Physical Therapy & Fitness Center (Partnerships with Mount Royal Pines and St. Ann s Residence, Duluth, MN, and William Kelly High School, Silver Bay, MN) Pilates St. Luke s Driving Evaluation and Training Program St. Luke s International Travel Health Center Speaker s Bureau Support Groups Whiteside Institute for Clinical Research (In collaboration with the University of Minnesota Medical School, Duluth)

19 SERVICES Family Medicine Bay Area Medical Clinic, Silver Bay, MN Chequamegon Clinic, Ashland, WI Denfeld Medical Clinic, Duluth, MN Hibbing Family Medical Clinic, Hibbing, MN Lake View Clinic, Two Harbors, MN Laurentian Medical Clinic, Mountain Iron, MN Lester River Medical Clinic, Duluth, MN Mariner Medical Clinic, Superior, WI Miller Creek Medical Clinic, Hermantown, MN Mount Royal Medical Clinic, Duluth, MN P.S. Rudie Medical Clinic, Duluth, MN Specialty Care Specialty clinics are located in Duluth, Minnesota. In addition, many of our specialists provide consulting services to St. Luke s family medicine clinics. St. Luke s Allergy & Immunology Associates St. Luke s Anesthesia Associates St. Luke s Cardiology Associates St. Luke s Cardiothoracic Surgery Associates St. Luke s Dermatology Associates St. Luke s Duluth Internal Medicine Associates St. Luke s Emergency Services St. Luke s Endocrinology Associates St. Luke s Gastroenterology Associates St. Luke s Infectious Disease Associates St. Luke s Internal Medicine Associates St. Luke s Neurosurgery Associates St. Luke s Occupational Health Clinic St. Luke s Oncology & Hematology Associates St. Luke s Orthopedics & Sports Medicine St. Luke s Pavilion Surgical Associates St. Luke s Pediatric Associates St. Luke s Physical Medicine & Rehab Associates St. Luke s Plastic Surgery Associates St. Luke s Psychiatry Associates St. Luke s Pulmonary Medicine Associates St. Luke s Radiation Oncology Associates St. Luke s Rheumatology Associates St. Luke s Surgical Associates St. Luke s Urology Associates

20 SERVICES Urgent Care St. Luke s Hospital, Duluth, MN Denfeld Medical Clinic, Duluth, MN Mariner Medical Clinic, Superior, WI Miller Creek Medical Clinic, Hermantown, MN Q Care St. Luke s Express Clinic Q Care, located in the Duluth Cub Foods, offers convenient, walk-in care for minor health concerns for people of all ages. Staffed by a physician assistant or nurse practitioner, the clinic provides basic diagnostic services and prescriptions for treatment, as well as some on-site lab testing.

21 FINANCIALS Summary of Revenues (in thousands) St. Luke s Lake View Patient Services Revenue $696,839 $18,210 Deductions from Revenue: Contractual/Other $382,628 $5,298 Patient Financial Assistance $7,012 $108 Bad Debt $6,621 $239 Other Revenue $16,403 $152 Total Revenues Received $316,981 $12,717 Summary of Revenue Uses (in thousands) St. Luke s Lake View Salaries/Benefits $199,211 $6,356 Depreciation & Interest $12,025 $1,307 Other Operating Expenses & Reinvestment $105,745 $5,054 Total Revenue Uses $316,981 $12,717

22 FINANCIALS 2011 Statistical Highlights St. Luke s Lake View Admissions 11, Births 956 Patient Days 48,833 2,033 Emergency/Urgent Care Visits 63,471 3,314 Outpatient Registrations 157,420 5,483 Occupancy Percentage 50.10% 31.10% Number of Surgeries 10, Home Health/Hospice Visits 18,588 Clinic Visits 442,373 23,109 Assisted Living Resident Days 3,163 Occupancy Percentage Assisted Living 87.00%